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Abstract：
No previous study has evaluated the effectiveness of routine physical therapy with and without neural mobilization for patients with chronic musculoskeletal neck disorders and cervical radiculopathy. The objective is to evaluate the effectiveness of routine physical therapy with and without neural mobilization on pain and mobility in patients with chronic musculoskeletal neck disorders and cervical radiculopathy. A systematic review with meta-analysis of randomized clinical trials involving the use of neural mobilization techniques for the treatment of chronic musculoskeletal neck disorders and cervical radiculopathy was conducted. Methodological quality was assessed by the Cochrane Risk of Bias Tool and PEDro scale. Data were pooled and a meta-analysis was performed using a random effects model with Review Manager 5 software. Seven articles were included in our review. Significant differences were found in mobility but not in pain in favor of using routine physical therapy with neural mobilization for the treatment of chronic musculoskeletal neck disorders and cervical radiculopathy. Our results show that routine physical therapy accompanied by neural mobilization is superior for improving mobility in comparison with routine physical therapy alone in patients with musculoskeletal neck disorders and cervical radiculopathy.
摘要：
以前没有研究评估有和没有神经动员的常规物理治疗对患有慢性肌肉骨骼颈部疾病和颈神经根病的患者的有效性。目的是评估有或没有神经动员的常规物理疗法对慢性肌肉骨骼颈部疾病和颈神经根病患者疼痛和活动性的有效性。对涉及使用神经动员技术治疗慢性肌肉骨骼颈部疾病和颈神经根病的随机临床试验进行了系统的荟萃分析。通过Cochrane偏差工具和PEDro量表评估方法学质量。合并数据并使用ReviewManager5软件的随机效应模型进行荟萃分析。我们的评论中包含了七篇文章。在活动性方面发现了显着差异，但在疼痛方面却没有发现显着差异，这有利于使用常规物理治疗和神经动员来治疗慢性肌肉骨骼颈部疾病和颈神经根病。我们的结果表明，在肌肉骨骼颈部疾病和颈神经根病患者中，与单纯的常规物理疗法相比，伴有神经动员的常规物理疗法在改善运动能力方面更优越。
